Nishaat Farooqui
MD | Pediatrics | Female
Nishaat Farooqui, MD is a Mishawaka, Indiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Nishaat Farooqui is
611 E Douglas Rd Ste 401, Mishawaka, Indiana - 46545-1468. She can be contacted on phone at
574-335-6242.
Nishaat Farooqui is a sole proprietor of her business.
NPI number (Unique professional ID) for Nishaat Farooqui is
1184128498 which was assigned by NPPES on 21 Mar, 2018 and it was last updated on 27 Sep, 2021.
Nishaat Farooqui license number is
01086445A for Pediatrics (208000000X) in Indiana.
Nishaat Farooqui is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Nishaat Farooqui basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Nishaat Farooqui |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Nishaat Farooqui address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 611 E Douglas Rd Ste 401
Mishawaka, IN, 46545-1468
United States |
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| Phone Number : | 574-335-6242 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1184128498 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Mar, 2018 |
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| Last Updated On : | 27 Sep, 2021 |
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Medicare Participation:
Nishaat Farooqui participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 9436406774 |
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| Medicare Enrollment ID : | I20210826002274 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2016 |
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| Accepts Medicare? | Yes. Nishaat Farooqui accepts medicare insurance. |
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Group Practice Association:
Nishaat Farooqui is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Nishaat Farooqui is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Saint Joseph Regional Medical Center Inc | 8325950843 | 102 | 611 E Douglas Rd
401 Community Pediatric Physicians
Mishawaka, IN - 465451468
Ph: 5743356242 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nishaat Farooqui are as mentioned. Primary taxonomy code for Nishaat Farooqui, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | 01086445A | IN |
Legacy Identifiers:
Other legacy medical identifiers of Nishaat Farooqui such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 300054073 | MEDICAID | IN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 707 Cedar St Ste 200
South Bend, IN, 46617-2057
United States |
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| Phone Number : | 574-335-8707 |
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| Fax Number : | 574-335-0741 |
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Business Location:
Patients can refer following map for directions to
Nishaat Farooqui practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.